| Dr Glenn Provost, MD | |
|
17100 Euclid St, Fountain Valley, CA 92708-4004 | |
| (714) 979-1211 | |
| Not Available |
| Full Name | Dr Glenn Provost |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 17100 Euclid St, Fountain Valley, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326003229 | NPI | - | NPPES |
| 00G794980 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | G79498 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn Provost, MD 9111 Mahalo Dr, Huntington Beach, CA 92646-7863 Ph: (714) 401-9117 | Dr Glenn Provost, MD 17100 Euclid St, Fountain Valley, CA 92708-4004 Ph: (714) 979-1211 |
Dr. Sandra W Kluwe, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 17100 Euclid St, Fountain Valley, CA 92708 Phone: 714-979-1211 | |
Elsa A. Tekle, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 17100 Euclid St, Fountain Valley, CA 92708 Phone: 714-949-1211 | |
Dr. Michael Henry Wong, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10900 Warner Ave, Suite #101 A, Fountain Valley, CA 92708 Phone: 714-698-1270 Fax: 714-962-7261 | |
Dr. Tu V Nguyen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9920 Talbert Ave, Fountain Valley, CA 92708 Phone: 714-378-7000 Fax: 714-647-1245 | |
Michael Audon, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10900 Warner Ave, Suite 101a, Fountain Valley, CA 92708 Phone: 714-285-2385 Fax: 818-831-1808 | |
Dr. Bharat V Merai, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 17100 Euclid St, Fountain Valley, CA 92708 Phone: 714-979-1211 | |
Alan Ho, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18035 Brookhurst St, # 1200, Fountain Valley, CA 92708 Phone: 714-963-7240 |